Chinas Rural Public Health System Performance A Cross-Sectional Study.docVIP

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Chinas Rural Public Health System Performance A Cross-Sectional Study.doc

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Chinas Rural Public Health System Performance A Cross-Sectional Study

China’sRuralPublicHealthSystemPerformance:A Cross-SectionalStudy MiaomiaoTian1,2,DaFeng1,XiChen1,3,YingchunChen1,XiSun1,YuanxiXiang1,FangYuan1, ZhanchunFeng1* 1School of Medicine and Health Management, Huazhong University of Science and Technology, Wuhan, Hubei, China, 2Institute of Medical Information, Center for HealthPolicyandManagement,ChineseAcademyofMedicalSciences,Beijing,China,3SchoolofManagement,JiangsuUniversity,Zhanjiang,Jiangsu,China Abstract Background: In the past three years, the Government of China initiated health reform with rural public health system constructiontoachieveequalaccesstopublichealthservicesforruralresidents.Thestudyassessedtrendsofpublichealth servicesaccessibilityinruralChinafrom2008to2010,aswellasthecurrentsituationabouttheChina’sruralpublichealth systemperformance. Methods: The data were collected from a cross-sectional survey conducted in 2011, which used a multistage stratified random sampling method to select 12 counties and 118 villages from China. Three sets of indicators were chosen to measure the trends in access to coverage, equality and effectiveness of rural public health services. Data were disaggregated by provinces and by participants: hypertension patients, children, elderly and women. We examined the changesinequalityacrossandwithinregion. Results: China’s rural public health system did well in safe drinking water, children vaccinations and women hospital delivery. But more hypertension patients with low income could not receive regular healthcare from primary health institutionsthanthosewithmiddleandhighincome.In2010,hypertensiontreatmentrateofQinghaiinWesternChinawas just 53.22% which was much lower than that of Zhejiang in Eastern China (97.27%). Meanwhile, low performance was showedineffectivenessofruralpublichealthservices.Therateofeffectivetreatmentforcontrollingtheirbloodpressure withinnormalrangewasjust39.7%. Conclusions: The implementation of health reform since 2009 has led the public health development